Douglas Phan, M.D.
NPI 1013073766 · Otolaryngology Physician · Modesto, CA
Enrolled with Medicare as Practitioner - Otolaryngology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Douglas Phan, M.D. is a Otolaryngology Physician provider in Modesto, CA (NPI 1013073766).
Provider details
- NPI number
- 1013073766
- Entity type
- Individual
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- G51181 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
781 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 320 | $147 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 226 | $189 |
| Exam of Ear Using a Microscope92504 | 171 | $37 |
| Diagnostic Exam of Voice Box Using a Flexible Endoscope31575 | 39 | $159 |
| Removal of Impacted Ear Wax69210 | 25 | $55 |
Typical Medicare-allowed amounts for these services range $37–$189 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 11 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Amoxicillin | 90 | 80 |
| Ofloxacin | 75 | 51 |
| Omeprazole | 68 | 63 |
| Fluticasone Propionate | 40 | 37 |
| Clarithromycin | 23 | 22 |
| Clotrimazole | 22 | 14 |
| Fluocinolone Acetonide Oil | 21 | 20 |
| Ciprofloxacin Hcl | 18 | 14 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$126 across 4 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 927 Broadway StSuite 322Quincy, IL 62301-2719Phone: (217) 223-8400
Registry dates
- Enumerated
- 2006-12-28
- Last updated
- 2019-01-16
Frequently asked questions
- What is Douglas Phan's NPI number?
- Douglas Phan's National Provider Identifier (NPI) is 1013073766, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Douglas Phan's specialty?
- Douglas Phan is listed in the NPPES registry with a primary specialty of Otolaryngology Physician (Allopathic & Osteopathic Physicians).
- Where is Douglas Phan located?
- Douglas Phan's practice location on file with NPPES is 1541 Florida Ave Ste 304, Modesto, CA 95350-4439.
- What is Douglas Phan's phone number?
- The practice phone number listed in the NPPES registry for Douglas Phan is (209) 577-3388.
- Does Douglas Phan accept Medicare?
- Douglas Phan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Douglas Phan's NPI active?
- Yes — Douglas Phan's NPI (1013073766) is active in the NPPES registry as of the last update on 2019-01-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.